Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $81.28 / $181.97	Facility	26	$58.88	$81.28	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $1,148.15	Professional		$107.15	$186.21	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $208.93 / $851.14	Professional	26	$57.54	$208.93	$851.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $79.43 / $186.21	Professional	TC	$52.48	$79.43	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $190.55	Professional		$91.20	$95.50	$190.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $107.15	Professional	26	$45.71	$61.66	$107.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $173.78	Professional	26	$83.18	$125.89	$173.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $204.17 / $234.42	Professional	TC	$123.03	$204.17	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $97.72	Facility	26	$14.79	$69.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $380.19	Professional		$154.88	$239.88	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $162.18	Professional	26	$63.10	$93.33	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $134.90 / $223.87	Professional	TC	$81.28	$134.90	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $338.84	Professional		$85.11	$173.78	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $331.13	Professional		$138.04	$204.17	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $83.18 / $162.18	Professional	26	$60.26	$83.18	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $177.83	Professional	TC	$74.13	$120.23	$177.83
Wellcare Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Wellcare Facility/Professional Professional Modifier 26 Low / Median / High Price $724.44 / $851.14 / $851.14	Professional	26	$724.44	$851.14	$851.14
Wellcare Facility/Professional Professional Modifier TC Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	TC	$741.31	$741.31	$741.31